Cognitive Behavioral Therapy (CBT) Flashcards

Question

intermediate/conditional belief "if i study enough I'll do better than everybody" holds off a core belief of

Answer 1

inadequacy

Answer 2

unlovability

Answer 3

we use intermediate/conditional beliefs to **keep painful core beliefs away**

Answer 4

1. collaborative/teaching and learning 2. time limited 3. set structure and duration 4. explicit consensual goals 5. problem oriented 6. here and now focus 7. homework/reinforcement 8. patient as her/his own therapist 9. autonomy vs. non-negotiables 10. meds/attribution

Answer 5

patient becomes their own therapist and can manage their condition going forward

Answer 6

if your weight drops below a certain point, you will have to seek more intense treatment

Answer 7

patients may attribute all progress to meds and not understand the interplay of CBT and medications

Answer 8

1. shared cognitive-behavioral model 2. psychoeducation regarding the disorder 3. self-monitoring 4. motivation/decision analysis 5. cognitive restructuring 6. systematic problem solving 7. behavioral experimentation/exposure 8. relaxation and mindfulness 9. relapse prevention/continued progress plan

Answer 9

1. low self-esteem 2. extreme concerns about shape and weight 3. rigid dietary rules/strict dieting 4. binge eating/overeating 5. purging her mood and stress impacts all of these

Answer 10

vomiting and laxative abuse redistribution of calories

Answer 11

keeping a record

Answer 12

each choice has **immediate** and **delayed** pros and cons

Answer 13

Will feel I’m doing the right thing. Doctor will be pleased.

Answer 14

Will be anxious about gaining weight. Will have to give up many foods. Will not have the release of B/V.

Answer 15

Better health. Less isolation and secrecy.

Answer 16

Will need to develop other coping mechanisms.

Answer 17

Will still have the comfort of B/V. Won’t get fat.

Answer 18

Friends might find out. Will still need to find a way to vomit if I eat too much.

Answer 19

Maybe it will be easier to stop after I finish college.

Answer 20

It may get harder to stop the longer I go on. I may develop more dental problems if I don’t stop pretty soon.

Answer 21

5 cognitive restructuring for sharon articulate the **circumstances** and **feelings**

Answer 22

Interpretation: If I eat three meals a day, I will gain a ton of weight. If I eat a “normal meal,” I’ll feel uncomfortably full, and I’ll have to vomit. If I let myself eat normally, I’ll never stop eating. This recommendation is fine for other people, but my body is different and it will never work for me.

Answer 23

1. articulate the circumstances and feelings 2. identify the core thought 3. critically examine the thought 4. reach a reasoned conclusion which is more accurate and more useful (rate effects on feelings and behavior)

Answer 24

no sometimes they are shortcuts in getting work done

Answer 25

Dichotomous, all-or-nothing thinking Arbitrary inference (“jumping to conclusions”) Overgeneralization Labeling and emotional reasoning Personalization Magnification and minimization Selective abstraction or mental filter “Should” statements

Answer 26

I’m fat → john was talking to jen → he won’t talk to me because i’m so fat → john thinks im fat, disgusting, and pathetic (95%)

Answer 27

Evidence For: He did not choose me to talk to. Jen is thinner than I am. My little brother Peter told me last summer that I looked fat. Evidence Against: John is usually pretty friendly to me. He used to date Ann who is heavier than I am. Alternative View: Maybe he’s waiting for me to approach him. Effect of believing thought: I will keep to myself Effect of believing alternative: I will be more likely to talk to him What you would tell a friend: Relax. Just because he’s talking to Jen doesn’t mean he doesn’t like you. You always think this, and it is usually not true.

Answer 28

1. Write down the problem as precisely as possible and as soon as possible; if there’s more than one problem break them down 2. Generate as many alternative solutions as possible 3. List the pros and cons of each solution as a means of evaluating the effectiveness and feasibility of each solution 4. Choose a solution 5. Implement the solution 6. Evaluate the result; if the problem is not resolved, return to Step 4

Answer 29

Stimulus Control: Identification of High Risk Situations Systematic Delay Use of Situation-Specific Alternatives: Reinforcement of Normal Eating Graded Exposure to Feared Foods

Answer 30

stimulus control techniques are **individual**

Answer 31

Do nothing else while eating Confine eating to one place Limit available food while eating Leave food on plate Discard leftovers Slow eating (put fork down, pause) Leave table after eating Serve and eat one portion at a time Shopping (planned, not when hungry) Limit exposure to “danger” foods

Answer 32

1. Go to grocery store, classify foods according to safeness-forbiddenness 2. Assignments of gradually increasing difficulty (food, context) 3. Eat food and do not compensate 4. Review with therapist and come up with next assignment

Answer 33

1. Go to grocery store, classify foods according to safeness-forbiddenness 2. Assignments of gradually increasing difficulty (food, context) 3. Eat food and do not compensate 4. Review with therapist and come up with next assignment

Answer 34

behavioral experimentation/exposure includes **stimulus control** and **graded exposure**

Answer 35

behavior chain analysis

Answer 36

relaxation and mindfulness

Answer 37

Discuss ongoing vulnerability and need for explicit plan to manage this Design relapse prevention plan Anticipate lapses and discuss coping strategies Explore high risk situations which are likely to arise and strategies for managing these Discuss issues surrounding termination

Answer 38

Self-monitor on weekends Make plans with friends (or plan a solo activity) Friday and Saturday evenings Make time for exercise 3x/wk. Check weight every Wednesday AM Review my records Sunday evenings 7-8 PM Do thought record whenever tempted to binge or purge

Answer 39

Plan all meals and snacks Self-monitor daily Do thought record at least 1x/day Review my Decision Analysis and update Tell Michelle (best friend) about it Call therapist if it lasts for > 1 week

Answer 40

visiting parents on weekends is high risk avoid this, educated parents on the issue

Answer 41

CBT: it is very hard to change how you **feel**, but with practice it is possible to change how you **think** and what you **do**

Answer 42

CBT: it is very hard to change how you **feel**, but with practice it is possible to change how you **think** and what you **do**

Answer 43

the genetic/environmental causes of obesity, the “fight-flight-freeze” response in anxiety disorders

Answer 44

(eating, exercise), feelings, thoughts, patient learning how to identify the A, B, and C’s

Answer 45

in CBT, thought to wax and wane throughout treatment--Decision analysis, is this the right time to be working on this? What are the pros/cons of change as well as the pros/cons of status quo?

Answer 46

collaboratively developed by patient and therapist, summarizing the major cognitive and behavioral mechanisms that maintain disorder. Roadmap for treatment.

Answer 47

systematically looking at automatic thoughts and associated feelings and behaviors, taking a step back from and reconsidering thoughts and coming up with more balanced and adaptive interpretation that influences feeling and behavior.

Answer 48

straightforward process for dealing with problems that arise, the default solution to which is often a maladaptive behavior. Goal is to replace this reflex maladaptive behavior (e.g. avoidance, substance use, temper tantrum) with well-considered alternative.

Answer 49

e.g. eating a forbidden food, having a difficult conversation. Scientific orientation – do experiments and gather data

Answer 50

scheduling pleasurable activities and engaging in them, even if you don’t feel like it at the time, then monitoring response. Useful in depression. Exposure: gradual exposure to feared situations without engaging in safety behaviors or compensatory behavior, e.g. OCD dirtying hands and not washing, looking out the window of a high floor without hanging on. Useful in anxiety disorders.

Answer 51

focus on breathing, progressive muscle relaxation as a means of tolerating dysphoric states; NOT to be used in the service of emotional avoidance. Mindfulness: awareness and acceptance of dysphoric states; stepping back from and not being cognitively fused with or overwhelmed by these states.

Answer 52

Patient becoming own therapist Needs a plan for maintenance, further progress, lapse management, and dealing with high risk situations.